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Minnesota rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,802.05 / $3,802.05 / $3,802.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.27 / $3,567.76 / $3,802.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,888.46 / $4,539.22 / $6,320.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,631.38 / $4,312.27 / $4,539.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.52 / $14,005.74 / $38,899.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,262.38 / $5,578.12 / $6,683.22
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,315.04 / $13,437.82 / $30,629.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,262.38 / $5,262.38 / $5,415.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.03 / $4,539.22 / $21,186.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.50 / $2,257.06 / $4,558.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.50 / $2,170.04 / $4,558.21